Provider Demographics
NPI: | 1740179290 |
---|---|
Name: | DRS. ABDELBAKY, BOES, CAMERON & ASSOCIATES OF LEXINGTON, PLLC |
Entity type: | Organization |
Organization Name: | DRS. ABDELBAKY, BOES, CAMERON & ASSOCIATES OF LEXINGTON, PLLC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | RCM DIRECTOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | KIM |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | DAVIS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 703-568-5773 |
Mailing Address - Street 1: | PO BOX 604377 |
Mailing Address - Street 2: | |
Mailing Address - City: | CHARLOTTE |
Mailing Address - State: | NC |
Mailing Address - Zip Code: | 28260-4377 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 919-977-0627 |
Mailing Address - Fax: | 919-435-1110 |
Practice Address - Street 1: | 1370 PIEDMONT DR STE 200 |
Practice Address - Street 2: | |
Practice Address - City: | LEXINGTON |
Practice Address - State: | NC |
Practice Address - Zip Code: | 27295-2053 |
Practice Address - Country: | US |
Practice Address - Phone: | 252-292-1349 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2025-06-30 |
Last Update Date: | 2025-07-02 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 1223G0001X | Dental Providers | Dentist | General Practice | Group - Single Specialty |